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HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTJF(JVNING & DEVELOPMEN ' SERVICES 4/SI/Q - p/3& Building & Code Complia Division BUII.DING PERMIT SUB -CONTRACTOR (A�G/REEMENT St. Lucie County Contractor Certification Number: 19 State of Florida Certification Number (If applicable): EG O / have agreed to be the sub -contractor for 60al iT �owsT �!c j �a vz7 (Type of Trade) I(Primary Contractor) for the project located Street Address or Property It is understood that, if there is any change of status regarding our participation with the above mentioned project, I will immediately advise the Building and Zoning Department of St. Lucie County by filing a Change of Sub -contractor notice. (Form: SLCCDv (No. 004-00) WSINESS. QUALIFIER (Name o£the Individual shown on the Contractor's License) NOTARIZED SIGNATURES ARE REQUIRED Business Name: SO JTi/�ASi ELF—c-rl e A L T}yf e. Address: City/State/Zip: Phone: % V 2 Gm 4, 6 Z Z email: S -I VZ_91( d rAikF¢y! 5� �21C sit . c©/✓1 NA PRIM NAME DATE STATE OF FLORIDA, COUNTY OF THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS,1 DAY OF pvG 20z6:1 BYS%iLlt w WHO IS PERSONALLY KNOWN OR E4,S PRODUCED AS IDENT ON. GNATURE OF NOTARY PUBLI if OFFICE L (STAMP) PRINT NAME OF NO P.BLIC:r hue k smte otF�onde r' � m&a R Buchheit ��iY' � 5y �6fiifik5k0 EE773fi17 $a, ��� e.oirc518iasfTelS y rr� - -- F"— — PLANNING & DEVELOPMENT SERVICES DIVISION J. BUILDING & CODE REGULATIONS DIVISION 2300 Virginia Ave --------- Fort Pierce, FL 34982 - BUILDING PERMIT - - — — - -- -- -- - =ONTRA-CTOR-SUA MARY- - - - cS%PuC/io w..2 -cwill be using the following sub -contractors for the project located_a[ 3So�S S 4,711 el / F% JP/8"l2 e (5. f L ffcp (Street address or Property Tax ID It is understood that if there is any change of status regarding the participation -of any of the sub -contractors listed below, I will immediately advise the Building and Zoning Department of St Lucie County. - - - - Trade Name of Company/Contractor St. Lucie County/. - - State of Florida License Number Electrical puihl EA5-7% ECg:c-/� lmL PcHsievc/e Si sU�� L eKF�2 m �e %300:5_00 / Plumbing 13VAC/ -S-FACo 5! A Mechanical ' J 0W w- F O /G -1 Roofing Gas - - OFFICE USE ONLY: PERMIT ISSUE DATE: NUMBER: PLANNING & DEVELOPMENT SERVICES Building & Code Complia_ 'Division 04AAWAOdG BUILDING PERMIT SUB -CONTRACTOR AGREEMENT • St. Lucie County Contractor Certification Number. State of Florida Certification Number (if appiicabie): - rs 10146 .21ep Ld GSA (Company NameQndividual have agreed to be the sub -contractor for _T;; P,Pu ii i (Type of Trade) (Primary Contractor) for the project located Address It is understood that, if there is any change of status regarding our participation with the above mentioned project, I will immediately advise the Building and Zoning Department of St. Lucie County by filing a Change of Sub -contractor notice. (Form: SLCCDV (No. 004-00) BUSINESS QUALIFIER (Name ofthe Individual shown on the Contractor's License) NOTARIZED SIGNATURESS ARE REQUIRED J j Business Name: ec (d/, 20-0— VIP)